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胫骨骨质流失。

Tibial bone loss.

作者信息

Schaffler Benjamin C, Konda Sanjit R

机构信息

NYU Langone Orthopedic Hospital, NYU Langone Health, New York, NY.

Jamaica Hospital Medical Center, Queens, NY.

出版信息

OTA Int. 2024 Jun 5;7(4 Suppl):e315. doi: 10.1097/OI9.0000000000000315. eCollection 2024 Jun.

DOI:10.1097/OI9.0000000000000315
PMID:38840708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11149745/
Abstract

Critical bone loss after open fractures, while relatively uncommon, occurs most frequently in high-energy injuries. Fractures of the tibia account for the majority of open fractures with significant bone loss. A number of different surgical strategies exist for treatment of tibial bone loss, all with different advantages and disadvantages. Care should be taken by the surgeon to review appropriate indications and all relevant evidence before selecting a strategy.

摘要

开放性骨折后的严重骨丢失虽然相对少见，但最常发生于高能量损伤。胫骨骨折占伴有严重骨丢失的开放性骨折的大多数。治疗胫骨骨丢失有多种不同的手术策略，各有不同优缺点。外科医生在选择策略前应仔细审查合适的适应症及所有相关证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/025a/11149745/e29cf45180ec/oi9-7-e315-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/025a/11149745/e29cf45180ec/oi9-7-e315-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/025a/11149745/e29cf45180ec/oi9-7-e315-g001.jpg

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本文引用的文献

1
Surgical repair of large segmental bone loss with the induced membrane technique: patient reported outcomes are comparable to nonunions without bone loss.采用诱导膜技术修复大段骨缺损：患者报告的结果与无骨缺损的骨不连相当。
Eur J Orthop Surg Traumatol. 2024 Jan;34(1):243-249. doi: 10.1007/s00590-023-03580-4. Epub 2023 Jul 13.
2
Comparison of the clinical outcomes between vascularized bone graft and the Masquelet technique for the reconstruction of Gustilo type III open tibial fractures.血管化骨移植与 Masquelet 技术治疗 Gustilo Ⅲ型开放性胫骨骨折的临床疗效比较。
BMC Musculoskelet Disord. 2022 Dec 1;23(1):1036. doi: 10.1186/s12891-022-06010-4.
3
Treatment options for infected bone defects in the lower extremities: free vascularized fibular graft or Ilizarov bone transport?
下肢感染性骨缺损的治疗选择：游离血管化腓骨移植还是伊利扎洛夫骨搬运？
J Orthop Surg Res. 2020 Sep 24;15(1):439. doi: 10.1186/s13018-020-01907-z.
4
Bone Repair Using the Masquelet Technique.采用Masquelet技术进行骨修复。
J Bone Joint Surg Am. 2019 Jun 5;101(11):1024-1036. doi: 10.2106/JBJS.18.00842.
5
Ilizarov bone transport and treatment of critical-sized tibial bone defects: a narrative review.伊里扎洛夫骨搬运术治疗胫骨大段骨缺损：一项叙述性综述。
J Orthop Traumatol. 2019 Apr 16;20(1):22. doi: 10.1186/s10195-019-0527-1.
6
Autogenous Iliac Crest Bone Grafting for the Treatment of Fracture Nonunion Is Equally Effective in Elderly and Nonelderly Patients.自体髂嵴骨移植治疗骨折不愈合在老年和非老年患者中同样有效。
J Am Acad Orthop Surg. 2019 Sep 15;27(18):696-703. doi: 10.5435/JAAOS-D-18-00322.
7
Circumferential bone grafting around an absorbable gelatin sponge core reduced the amount of grafted bone in the induced membrane technique for critical-size defects of long bones.在可吸收明胶海绵核心周围进行环周骨移植，减少了长骨临界尺寸缺损诱导膜技术中移植骨的用量。
Injury. 2017 Oct;48(10):2292-2305. doi: 10.1016/j.injury.2017.08.012. Epub 2017 Aug 8.
8
Outcome of distraction osteogenesis by ring fixator in infected, large bone defects of tibia.环形固定器治疗感染性胫骨大段骨缺损的牵张成骨结果
J Clin Orthop Trauma. 2016 Oct-Dec;7(Suppl 2):201-209. doi: 10.1016/j.jcot.2016.02.016. Epub 2016 Apr 20.
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The mangled extremity score and amputation: Time for a revision.严重肢体损伤评分与截肢：修订时机
J Trauma Acute Care Surg. 2017 Mar;82(3):518-523. doi: 10.1097/TA.0000000000001339.
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